Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $19.75 / $62.33	Facility		$8.73	$19.75	$62.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $8.58 / $9.63	Professional		$7.90	$8.58	$9.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $40.51 / $99.71	Facility		$16.07	$40.51	$99.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.05 / $7.42	Professional		$3.50	$7.05	$7.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $23.59 / $44.67	Facility		$10.05	$23.59	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $11.56 / $14.81	Professional		$6.29	$11.56	$14.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $16.85 / $128.66	Professional		$9.63	$16.85	$128.66
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $12.52	Professional		$12.52	$12.52	$12.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.61 / $12.04	Professional		$4.82	$6.61	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $6.13 / $11.25	Professional		$4.04	$6.13	$11.25